A New Diagnostic Test to Distinguish Tremulous Parkinson's Disease from Advanced Essential Tremor
Identifieur interne : 000529 ( PascalFrancis/Corpus ); précédent : 000528; suivant : 000530A New Diagnostic Test to Distinguish Tremulous Parkinson's Disease from Advanced Essential Tremor
Auteurs : Muthuraman Muthuraman ; Abdulnasir Hossen ; Ulrich Heute ; Gunther Deuschl ; Jan RaethjenSource :
- Movement disorders [ 0885-3185 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Background: Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult. Methods: In selected power spectra of accelerometric postural tremor recordings on the more affected side of 41 patients with essential tremor and 39 patients with tremulous Parkinson's disease being indistinguishable by tremor frequency, peak power or number of harmonic peaks, waveform asymmetry (autocorrelation decay), and mean peak power of all harmonic peaks were computed. Cutoff for essential tremor-Parkinson's disease distinction was determined by receiver operating characteristics. Diagnostic yield was tested in 12 clinically unclear patients with monosymptomatic tremor, subsequently definitively diagnosed with essential tremor (n = 2) or Parkinson's disease (n = 10) by 123-1 FP-CIT-single-photon emission computed tomography, fluorodopapositron emission tomography, or clinical course. Results: By autocorrelation decay 64%, by mean harmonic peak power 94% (Parkinson's disease > essential tremor) of patients with a definite clinical diagnosis, and 11 of 12 clinically unclear patients were classified correctly. Conclusions: Mean harmonic power is a useful measure to separate clinically difficult cases of advanced essential tremor from tremulous Parkinson's disease.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 11-0353374 INIST |
---|---|
ET : | A New Diagnostic Test to Distinguish Tremulous Parkinson's Disease from Advanced Essential Tremor |
AU : | MUTHURAMAN (Muthuraman); HOSSEN (Abdulnasir); HEUTE (Ulrich); DEUSCHL (Gunther); RAETHJEN (Jan) |
AF : | Department of Neurology, University of Kiel/Kiel/Allemagne (1 aut., 4 aut., 5 aut.); Department of Electrical and Computer Engineering, Sultan Qaboos University/Muscat/Oman (2 aut.); Institute for Circuit and System Theory, Faculty of Engineering, University of Kiel/Kiel/Allemagne (3 aut.) |
DT : | Publication en série; Courte communication, note brève; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 8; Pp. 1548-1552; Bibl. 18 ref. |
LA : | Anglais |
EA : | Background: Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult. Methods: In selected power spectra of accelerometric postural tremor recordings on the more affected side of 41 patients with essential tremor and 39 patients with tremulous Parkinson's disease being indistinguishable by tremor frequency, peak power or number of harmonic peaks, waveform asymmetry (autocorrelation decay), and mean peak power of all harmonic peaks were computed. Cutoff for essential tremor-Parkinson's disease distinction was determined by receiver operating characteristics. Diagnostic yield was tested in 12 clinically unclear patients with monosymptomatic tremor, subsequently definitively diagnosed with essential tremor (n = 2) or Parkinson's disease (n = 10) by 123-1 FP-CIT-single-photon emission computed tomography, fluorodopapositron emission tomography, or clinical course. Results: By autocorrelation decay 64%, by mean harmonic peak power 94% (Parkinson's disease > essential tremor) of patients with a definite clinical diagnosis, and 11 of 12 clinically unclear patients were classified correctly. Conclusions: Mean harmonic power is a useful measure to separate clinically difficult cases of advanced essential tremor from tremulous Parkinson's disease. |
CC : | 002B17; 002B17G |
FD : | Maladie de Parkinson; Tremblement; Pathologie du système nerveux; Diagnostic différentiel; Accélérométrie |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Mouvement involontaire; Trouble neurologique |
ED : | Parkinson disease; Tremor; Nervous system diseases; Differential diagnostic; Accelerometry |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder |
SD : | Parkinson enfermedad; Temblor; Sistema nervioso patología; Diagnóstico diferencial; Accelerometría |
LO : | INIST-20953.354000508552620280 |
ID : | 11-0353374 |
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Pascal:11-0353374Le document en format XML
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<series><title level="j" type="main">Movement disorders</title>
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<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
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<front><div type="abstract" xml:lang="en">Background: Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult. Methods: In selected power spectra of accelerometric postural tremor recordings on the more affected side of 41 patients with essential tremor and 39 patients with tremulous Parkinson's disease being indistinguishable by tremor frequency, peak power or number of harmonic peaks, waveform asymmetry (autocorrelation decay), and mean peak power of all harmonic peaks were computed. Cutoff for essential tremor-Parkinson's disease distinction was determined by receiver operating characteristics. Diagnostic yield was tested in 12 clinically unclear patients with monosymptomatic tremor, subsequently definitively diagnosed with essential tremor (n = 2) or Parkinson's disease (n = 10) by 123-1 FP-CIT-single-photon emission computed tomography, fluorodopapositron emission tomography, or clinical course. Results: By autocorrelation decay 64%, by mean harmonic peak power 94% (Parkinson's disease > essential tremor) of patients with a definite clinical diagnosis, and 11 of 12 clinically unclear patients were classified correctly. Conclusions: Mean harmonic power is a useful measure to separate clinically difficult cases of advanced essential tremor from tremulous Parkinson's disease.</div>
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<server><NO>PASCAL 11-0353374 INIST</NO>
<ET>A New Diagnostic Test to Distinguish Tremulous Parkinson's Disease from Advanced Essential Tremor</ET>
<AU>MUTHURAMAN (Muthuraman); HOSSEN (Abdulnasir); HEUTE (Ulrich); DEUSCHL (Gunther); RAETHJEN (Jan)</AU>
<AF>Department of Neurology, University of Kiel/Kiel/Allemagne (1 aut., 4 aut., 5 aut.); Department of Electrical and Computer Engineering, Sultan Qaboos University/Muscat/Oman (2 aut.); Institute for Circuit and System Theory, Faculty of Engineering, University of Kiel/Kiel/Allemagne (3 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 8; Pp. 1548-1552; Bibl. 18 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult. Methods: In selected power spectra of accelerometric postural tremor recordings on the more affected side of 41 patients with essential tremor and 39 patients with tremulous Parkinson's disease being indistinguishable by tremor frequency, peak power or number of harmonic peaks, waveform asymmetry (autocorrelation decay), and mean peak power of all harmonic peaks were computed. Cutoff for essential tremor-Parkinson's disease distinction was determined by receiver operating characteristics. Diagnostic yield was tested in 12 clinically unclear patients with monosymptomatic tremor, subsequently definitively diagnosed with essential tremor (n = 2) or Parkinson's disease (n = 10) by 123-1 FP-CIT-single-photon emission computed tomography, fluorodopapositron emission tomography, or clinical course. Results: By autocorrelation decay 64%, by mean harmonic peak power 94% (Parkinson's disease > essential tremor) of patients with a definite clinical diagnosis, and 11 of 12 clinically unclear patients were classified correctly. Conclusions: Mean harmonic power is a useful measure to separate clinically difficult cases of advanced essential tremor from tremulous Parkinson's disease.</EA>
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<ED>Parkinson disease; Tremor; Nervous system diseases; Differential diagnostic; Accelerometry</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder</EG>
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